Individual provider Active NPI

Brett A Weyman, D.D.S., M.D.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Farmington, CT
National Provider Identifier
1780607366
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
41799 Issued in CT
Practice address
291 Farmington Ave
Farmington, CT 06032-1925
Phone
(860) 678-7528
Fax
(860) 678-7933
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 9219 CT
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 41799 CT Primary

Addresses

Primary practice location

291 Farmington Ave
Farmington, CT 06032-1925

Mailing address

291 Farmington Ave
Farmington, CT 06032-1925
Phone (860) 678-7528

Other identifiers 1

IdentifierTypeStateIssuer
2092196MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031203000136 CT Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 9133024243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial SurgeryAlso: Oral Surgery
Education
University of Connecticut School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connecticut Maxillofacial Surgeons LLCGroup PAC ID 2062317134, 4 clinicians

Practice addresses (Care Compare)

291 Farmington Ave
Farmington, CT 06032-1925
Phone (860) 678-7528

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9219CTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Maxillofacial Surgeons, LLC Oral and Maxillofacial Surgery CurrentSince Sep 1, 2003 Accepting new patients

Locations

291 Farmington Ave
Farmington, CT 06032
Phone (860) 677-8666

291 Farmington Ave
Ste 2
Farmington, CT 06032
Phone (860) 678-7528

507 Hopmeadow St
Simsbury, CT 06070
Phone (860) 658-0446

663 E Main St
Torrington, CT 06790
Phone (860) 496-6036

415 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 529-3937

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1780607366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321925",
            "telephone_number": "860-678-7528",
            "fax_number": "860-678-7933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321925",
            "telephone_number": "860-678-7528",
            "fax_number": "860-678-7933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEYMAN",
        "first_name": "BRETT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CT",
            "license": "9219",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CT",
            "license": "41799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2092196",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

Verify at the official NPI Registry.